Bridge Family Practice

NPI #1164710638 in Oakland, California

Provider Information

NPI Number: 1164710638
Entity Type: Organization
Organization Name: Bridge Family Practice
Primary Specialty: Specialist
Enumeration Date: Jul 18, 2011
Last Updated: Jul 18, 2011

Practice Location

Address: 5900 SHATTUCK AVE STE 101
City: Oakland
State: California
ZIP Code: 94609-1461
Phone: (510) 595-1500

Authorized Official

Name: WENDELL BRYAN WILLIAMS, M.D
Title: MEDICAL DOCTOR
Phone: (510) 595-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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